| NPI | 1801051198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT871438) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IN 06003589A) |
| 225100000X Physical Therapist (Licence: VA 2305207507) | |
| 225100000X Physical Therapist (Licence: MD 24113) | |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2013-02-13 |